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NPI Code Detail

MEDICARE: HARPERSVILLE FIRE DEPARTMENT

MEDICARE: HARPERSVILLE FIRE DEPARTMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance861AL

General Provider Information

NPI Number : 1457469256
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARPERSVILLE FIRE DEPARTMENT
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : HARPERSVILLE
State : AL
Zip : 35078-0370
Country : US
Telephone Number : 205-822-0532
Fax Number :
Provider Business Practice Location Address
First Line : 38891 HWY 25
Second Line :
City : HARPERSVILLE
State : AL
Zip : 35078
Country : US
Telephone Number : 205-672-7959
Fax Number :
Authorized Official
Title or Position : FIRE CHIEF
Name : PERRY WADE HOLLEY
Credential :
Telephone Number : 205-822-0532
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/22/2020

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Directions to “HARPERSVILLE FIRE DEPARTMENT ” Practice Location

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